NPI | 1023405206 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD461411) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD461411) |
Enumeration Date | 2015-04-24 |
Last Update Date | 2022-09-23 |